In a large skillet, brown the sausage on medium heat.
Set it aside on plate covered with a paper towel. Do not drain the oil.
Add the chopped onions and bell peppers and cook until they have softened (takes about five minutes).
Add the garlic and cook for an additional one minute.
Add the tomatoes, chicken broth, cream, jalapenos (optional), pasta, salt and pepper (to taste). The skillet will be really full so stir slowly.
Carefully add the sausage back into the skillet and stir.
Cover the skillet with a lid, turn the heat to high and bring it to a boil. Once it has come to a boil, reduce the heat to medium-low and simmer until the pasta is done (approximately 15 minutes). Stirring occasionally.
Once the pasta is done, remove it from the heat. Add the cheese and the parsley. Stir together and let it sit for 5 minutes to thicken the sauce.
Serve and top with more cheese if desired.